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Individual
CARL HERNDON COGHILL III
Active
Individual
CARL HERNDON COGHILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
17155
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00114021
MISSISSIPPI MEDICAID
—
01
—
2441
HEALTHSPRING
—
01
—
4710009
UHC
—
01
—
510-83151
BC BS
AL
01
—
C76603
VIVA
—
Enumeration date
05/15/2006
Last updated
07/08/2007
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